Gooselady BSN, RN

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All Content by Gooselady

  1. Gooselady

    Preceptor Problems - Advice needed

    Gooselady replied to dragonfire123's topic in Patient, Colleague Relations

    Dragnonfire, that was BRILLIANT!! I'm gonna remember what you did for myself or others who find themselves in a similar condition. You accomplished exactly what you 'needed' without getting uppity,...
  2. Gooselady

    yelled at by doctor at another patient bedside

    Gooselady replied to RadioJenn's topic in Patient, Colleague Relations

    No, I meant 'incontinent', as in spewing his anger all over the place instead of controlling
  3. Gooselady

    Chemotherapy/blood transfusion via PICC

    Gooselady replied to Lonestar RN's topic in Oncology

    This was a debate on our unit too, and you'd walk in at change of shift and find nurses doing it differently and having good reasons for it. So I had to think about it. Each lumen is a separate...
  4. Gooselady

    Crying at work

    Gooselady replied to Ptrv12's topic in Oncology

    I worked oncology for six and a half years until last June, and I nodded throughout your whole post! Everything you feel and wonder about is so normal, but talking about it with other nurses can be...
  5. Gooselady

    zofran vs phenergan?

    Gooselady replied to Nursetobe25's topic in Patient Medications

    In my experience, Zofran 'prevents' vomiting (very simplified here, I know). It doesn't seem to do as much as Phenergan for nausea or queasiness. If a patient is actively vomiting, I give Zofran....
  6. Gooselady

    patients on methadone plus PRN pain meds

    Gooselady replied to sassyann85's topic in Patient Medications

    I can understand feeling very resentful of women who abuse drugs during pregnancy and cause their neonates to suffer withdrawal syndrome. Who wouldn't? On the other hand, condemning all 'drug...
  7. Gooselady

    Am I the only one in here??

    Gooselady replied to PadmeRN's topic in General Nursing

    Heck with that! Everything is always changing. Everything. Next year, your benefit package may suck worse, or they might lay off, or you'll get a new manager with a personality disorder lol. You...
  8. Gooselady

    Should I be worried about losing my job?

    Gooselady replied to cassieann20's topic in General Nursing

    Wow, that is AWFUL Even worse, that you couldn't be TOLD what your 'charges' were That would have destroyed my serenity for a LONG time I hope your meeting went well (ha) for you, and your three...
  9. Gooselady

    Anti-vax nurses? Are you serious?

    Gooselady replied to dinah77's topic in Disaster Preparation

    Good point, I think that is the core issue. Fear is frequently irrational, and when it comes to poking needles into your baby's thigh every three months, three and four vacs at a time, it's pretty...
  10. Gooselady

    Ugh. Rejected from dream job

    Gooselady replied to ThePrincessBride's topic in Job Search, Interview, Resume

    Don't you give up! There are a thousand reasons why you didn't get that job that have NOTHING to do with you being an inadequate prospect :) Someone could have taken a lateral transfer, I can think...
  11. Gooselady

    Do you cap off a discountinued IV?

    Gooselady replied to northmississippi's topic in Patient Safety Issues

    No need to cap if the roller-lock occludes the tubing, unless your facility has a policy about always capping tossed IV/lines (which I've yet to hear of?). I use a fresh female cap on the tubing if...
  12. Gooselady

    IVP meds- is this safe?

    Gooselady replied to Graduatenurse14's topic in Patient Safety Issues

    Alcohol must 'sit' in a liquid form on an object for 20 - 30 seconds to kill 70% of the bacteria present (I'll look for this reference, don't have it on this 'puter). The alcohol scrub itself is not...
  13. Gooselady

    Meth heads are zombies

    Gooselady replied to Emergent's topic in Patient, Colleague Relations

    Meth heads are only zombies when their serum meth levels go too low. I haven't seen the 'bath salts' persons, when I did chem dependency in the early Oughts bath salts hadn't made their appearance...
  14. Gooselady

    Getting put as an nurses' aid on shifts.

    Gooselady replied to hybr1d's topic in Patient, Colleague Relations

    What we used to do was split the RN assignments if we got an RN instead of a CNA to fill a CNA call out. For instance, if we staffed 5 RNs and 2 CNAs for 25 patients, and got an extra RN for a CNA...
  15. Gooselady

    IVP meds- is this safe?

    Gooselady replied to Graduatenurse14's topic in Patient Safety Issues

    Here's another way to look at it; what are the chances of a FLYING bacteria or virus body (latter more likely unless it's TB) to land on the port in the second it takes to replace a sterilized syringe...
  16. Gooselady

    IVP meds- is this safe?

    Gooselady replied to Graduatenurse14's topic in Patient Safety Issues

    Yep, this is really and truly small potatoes, unless you lick the port or sneeze on it in between changing the pre-sterilized
  17. Gooselady

    Area of nursing with greatest amount of vomit

    Gooselady replied to PaulBaxter's topic in General Nursing

    Rivers of vomit in oncology, in spite of these amazing 'new' drugs to control it, there was still a lot more than average, methinks. Here's another one; inpatient detox. Alcohol, benzos and opioid...
  18. Gooselady

    huber needle

    Gooselady replied to spma1234's topic in Geriatric, LTC

    Again, the administration in the facility the OP works in has some responsibility in providing competency training (and gawd help us, supplies). An unguided, uneducated (in this situation) harried...
  19. Gooselady

    how to deal with harrassment in the workplace.

    Gooselady replied to rookieRN123's topic in Patient, Colleague Relations

    I wouldn't say you are 'too sensitive'. I'd just say you are not apathetic about being bullied and verbally abused :) Not apathetic like the rest of the staff. If you can tolerate it, please do take...
  20. Gooselady

    huber needle

    Gooselady replied to spma1234's topic in Geriatric, LTC

    I think your DON failed her responsibility to ensure the nursing staff's competency to deal with such things as central lines/mediports. If you had known what you've learned on this thread, you'd have...
  21. Gooselady

    falsifying documentation?

    Gooselady replied to care4pop's topic in Geriatric, LTC

    You've done what you could already, and did your 'bit' for advocating for this gentleman. I'd agree with you that crusty shingles blisters do not suddenly appear from one day to the next. That's...
  22. Gooselady

    New nurse stressing out

    Gooselady replied to medic978's topic in First Year After Licensure

    Oh, you are right in the middle of the 'worst' part of every new nurse's first year ((hugs)) You do NOT have to be 'perfect'. If you forget a signature, you'll be reminded. If you forget to do...
  23. Gooselady

    Home ventilators

    Gooselady replied to Gooselady's topic in Private Duty

    You know what, that makes a ton of sense and since I'm new I will need to 'vet' myself. In fact I feel a little silly come to think of it. I have two clients now with trachs and GTs and you know ....
  24. Gooselady

    Terminal Agitation

    Gooselady replied to bluegeegoo2's topic in Geriatric, LTC

    That is horrible I did a lot of comfort care in my last job and that sense of not being able to get the patient comfortable (much less at least not agitated or in agony) is fresh in my mind....
  25. Gooselady

    student UK nurse struggling with severe anxiety any advice please??

    Gooselady replied to studentgeorge15's topic in General Students

    When anxiety gets so bad it interferes with activities of daily living -- like work -- you need to seek professional help :) Anxiety is very, very common and also completely treatable! You shouldn't...